83C Justification Form

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

U.S Department of Education
1845

Enter only items that change
Current record

Agency form number (s)

-

0179

New record

Annual reporting and recordkeeping hour
burden
Number of respondents
Total annual responses
Percent of these responses
collected electronically

%

%

Total annual hours
Difference
Explanation of difference
Program change
Adjustment
Annual reporting and recordkeeping cost
burden (in thousands of dollars)
Total annualized Capital/Startup costs
Total annual costs (O&M)
Total annualized cost requested
Difference
Explanation of difference
Program change
Adjustment
Other changes

This is to amend the record of the 30 day filing.
Signature of Senior Official or designee:

BETH GREBELDINGER

Digitally signed by BETH GREBELDINGER
Date: 2024.11.18 15:17:26 -05'00'

** This form cannot be used to extend an expiration date.

OMB 83-C

Date:

11/19/2024

For OIRA Use
___________________________________
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10/95